Peripheral cases
Endovascular Intervention of Left Superficial Femoral Artery CTO – March 2014

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63-year-old male patient with past medical history of hypertension, dyslipidemia, ex-smoker presents with complaints of left calf pain at rest (Rutherford class II category 4). Patient ABI showed 0.80 in right and 0.65 in left lower extremity. Peripheral angiogram showed borderline obstructive disease of the right common femoral artery, popliteal artery with significant stenosis of the proximal right anterior tibial and distal posterior tibial artery. Significant stenosis in the left external iliac artery, chronic total occlusion of the mid-left superficial femoral artery (SFA) with significant calcification and obstructive disease of the left anterior tibial artery. Patient is currently planned for an endovascular intervention of the long segment left superficial femoral artery CTO. We will discuss the endovascular indications and approach towards the calcified long segment SFA CTO.



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Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Views 153

Case and Plan: 80 year old female with history of diabetes, hypertension, hyperlipidemia, former smoker, PAD with prior right SFA and more recently left SFA stent placement in May 2020 (Eluvia 6.0x120mm) presenting with left sided claudication that has progressed to pain at rest.

Management of Aortoiliac Disease (CERAB Technique) – September 2020
Views 119

Case and Plan: 72 year-old female with hypertension, hyperlipidemia, COPD, hypothyroidism, former smoker with several months of bilateral, severe lifestyle limiting claudication with less than 1/2-1 block of exertion that has progressed to pain at rest. Pain involves her bilateral thighs, legs and feet. Noninvasive studies severely reduced ABIs bilaterally with monophasic waveforms in the […]

Views 333

Case and Plan: 55 year-old-male with mutliple comorbidities, who presents with ongoing, bilateral lifestyle-limiting claudication now progressed to rest pain (L>R) who is status post R SFA CTO intervention and now planned for L SFA CTO intervention via femoral approach.

Transradial Approach for CFA Intervention Involving Fem-Fem Bypass Graft – July 2020
Views 269

Case and Plan: 70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity […]